um , it sounds to me like your friends found out you're depressed and are trying to stay with you and potentially take care of you.
i understand not wanting to stay friends with ppl who you can't relate with, but you didn't mention that being the case.
if your guilt (addressing it) is a big obstacle, maybe you can try postponing any "reckoning" by pretending for a while like the ghosting didn't happen, since your friends don't seem too butthurt. it's possible they actually don't feel ghosted and you don't need to feel guilty. if it turns out they are upset about it, there will be time to apologize. no need to get all in your head about your own potential sins and the proper procedure for amends/reconciliation
edit: i also have severe RSD, generalized anxiety, and social phobia (my triggers are different than yours). your description of your train of thought all sounds familiar to me. it often feels really uncomfortable and wrong to ignore the RSD voice but sometimes it really is telling us mistaken interpretation of situations.